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Controversial Behavior Analytic Procedures Ashanti Unaka Department of Social and Behavioral Sciences, Capella University PSY 7710: Ethics for Behavior Analysts Professor Mates January 29,2024

2 Controversial Treatment Guided compliance is a form of escape extinction that involves physically guiding an individual to complete a task or comply to a direction (Wiskow et al., 2017). Considering that it removes access to escape, it’s referred to as an escape extinction procedure. During the procedure, the individual is physically promoted to complete a specific demand instead of engaging in escape behaviors. Even though this procedure has its benefits, it’s looked at as controversial in the ABA field. It’s claimed to break some of our ethical codes, this paper will provide more insight on the pros and cons of this procedure. Pros to Controversial Treatment One pro about guided forced compliance, it's been proven to effectively decrease non complaint behaviors. Guided force compliance can be used to decrease noncompliant and some self injurious behaviors. Wilder et al. (2012), stated that guided compliance was more effective than any other punishment procedures such as time-out procedures to increase compliance. Lastly, Guided force compliance can also effectively increase desired behaviors. In some situations, this procedure can be aversive to some causing a desired change in their behavior. Cons to Controversial Treatment Despite guided force compliance being an effective treatment, there are still several cons that arise with this procedure. According to the study conducted by Wilder et al. 2012), guided compliance might result in elevated levels of maladaptive behavior compared to other interventions. It was found that problem behavior such as emotional and aggressive behavior was

3 higher in the guided compliance condition compared to other conditions. This could be because majority of individuals do not like being restrained or forced to comply in any way. Using guided force compliance takes away the client's rights to say no and it could potentially violate our ethics code. The next section will go over possible ethical considerations that need to be used when implementing this procedure. Evaluation of Ethics When implementing any behavioral procedures, it’s imperative to keep the ethics code in mind. It’s essential to know and follow them in this career field. If implementing a procedure could cause an increase in maladaptive behaviors, it would violate code 2.15. Ethical code 2.15 states minimizing the risk of procedures and recommends only implementing punishment procedures once all reinforcement procedures have been exhausted (BACB, 2020). Ethical code 3.01, states that behavior analysts must act in the best interest of the client, support the rights of the client and do no harm (BACB,2020). Considering that physical restraints are involved in guided force compliance it could also potentially violate the code of ethics. Before using guided force compliance, other procedures such as negative and positive punishment could be used to decrease behaviors. Conclusion In conclusion, it’s recommended to use other procedures before forcing a client to comply. Behavior Analyst should not force a client to comply, unless it is the last resort, and all other interventions were exhausted. Differential reinforcement of other behavior is one procedure that could be used to decrease maladaptive behaviors. This will decrease maladaptive behaviors

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4 by reinforcing and teaching the desired behavior. Providing reinforcement to the desired behavior shows the client what you want them to do and what behaviors to not engage in.

5 References Behavior Analyst Certification Board. (2020). Ethics code for behavior analysts. https://bacb.com/wp-content/ethics-code-for-behavior-analysts Fischetti AT, Wilder DA, Myers K, Leon-Enriquez Y, Sinn S, Rodriguez R. An evaluation of evidence-based interventions to increase compliance among children with autism. Journal of Applied Behavior Analysis. 2012 Winter;45(4):859-63. doi: 10.1901/jaba.2012.45- 859. Wiskow,K. M., Donaldson, J. M., & Matter, A. L. (2017). An evaluation of generalization of compliance across response types. Behavior Analysis: Research and Practice, 17(4),402- 420.

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